The holder whose full name is Baxter, Beth Anne,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71000050B) which status is Active.
| Name | Baxter, Beth Anne |
|---|---|
| License Number | 71000050B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Bloomington |
| State | IN |